- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $30,199.52 / $58,884.37
| Facility | | $23,442.29 | $30,199.52 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $22,387.21 / $33,113.11
| Facility | | $10,964.78 | $22,387.21 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $27,542.29 / $46,773.51
| Facility | | $11,481.54 | $27,542.29 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $31,622.78 / $48,977.88
| Facility | | $23,988.33 | $31,622.78 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $28,840.32 / $54,954.09
| Facility | | $15,135.61 | $28,840.32 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $26,302.68 / $40,738.03
| Facility | | $16,982.44 | $26,302.68 | $40,738.03 |